Individual provider Active NPI

Kristin Diane Conforti, D.P.T.

  • Physical Therapist
  • Garden City, NY
National Provider Identifier
1295977734
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030587 Issued in NY
Practice address
825 E Gate Blvd Ste 100
Garden City, NY 11530-2136
Phone
(516) 227-5344
Fax
(516) 908-6222
NPI assigned
Mar 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 030587 NY Primary

Addresses

Primary practice location

825 E Gate Blvd Ste 100
Garden City, NY 11530-2136

Mailing address

825 E Gate Blvd Ste 100
Garden City, NY 11530-2136
Phone (516) 227-5344

Other practice location 1

77 N Centre Ave Ste 303
Rockville Centre, NY 11570-3923
Phone (516) 321-9321

Other practice location 2

749 Montauk Hwy
Bayport, NY 11705-1609
Phone (631) 313-8872

Other practice location 3

3516 Francis Lewis Blvd
Flushing, NY 11358-1954
Phone (718) 428-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100715000168 NY Practitioner - Physical Therapist in Private Practice 1850423518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

825 E Gate Blvd
Suite 100
Garden City, NY 11530-2136
Phone (516) 227-5344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030587NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Concepts Home PT OT PLLC Physical Therapist CurrentSince Dec 10, 2023 Accepting new patients
Movement Concepts Physical Therapy, P.C. Physical Therapist CurrentSince Nov 14, 2013 Accepting new patients
Matthew Dounel MD MPH PLLC PastSince Mar 1, 2020 Accepting new patients

Locations

749 Montauk Hwy
Bayport, NY 11705
Phone (516) 227-5344

1 Old Country Rd
#1
Carle Place, NY 11514

3516 Francis Lewis Blvd
Unit A
Flushing, NY 11358
Phone (718) 428-3500

825 E Gate Blvd
Ste 100
Garden City, NY 11530
Phone (516) 227-5344

55 Maple Ave
Ste 306
Rockville Centre, NY 11570
Phone (516) 227-5344

77 N Centre Ave
Ste 303
Rockville Ctr, NY 11570
Phone (516) 520-8688

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1295977734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E GATE BLVD STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302136",
            "telephone_number": "516-227-5344",
            "fax_number": "516-908-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E GATE BLVD STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302136",
            "telephone_number": "516-227-5344",
            "fax_number": "516-908-6222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 N Centre Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115703923",
            "country_code": "US",
            "telephone_number": "516-321-9321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "749 Montauk Hwy",
            "address_purpose": "LOCATION",
            "city": "Bayport",
            "state": "NY",
            "postal_code": "117051609",
            "country_code": "US",
            "telephone_number": "631-313-8872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3516 Francis Lewis Blvd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113581954",
            "country_code": "US",
            "telephone_number": "718-428-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONFORTI",
        "first_name": "KRISTIN",
        "middle_name": "DIANE",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.